| Dr Gregory R Hodson, MD | |
|
2225 Teton Plz, Ste B, Idaho Falls, ID 83404-6494 | |
| (208) 524-4660 | |
| (208) 524-4617 |
| Full Name | Dr Gregory R Hodson |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 2225 Teton Plz, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164426771 | NPI | - | NPPES |
| 000001021963 | Other | IN | ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653 |
| 201352320 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | M6479 (Idaho) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01076326A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory R Hodson, MD 2225 Teton Plz, Ste B, Idaho Falls, ID 83404-6494 Ph: (208) 524-4660 | Dr Gregory R Hodson, MD 2225 Teton Plz, Ste B, Idaho Falls, ID 83404-6494 Ph: (208) 524-4660 |
Edward R Setser, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3200 Channing Way Ste A205, Idaho Falls, ID 83404 Phone: 208-535-4580 Fax: 208-535-4520 | |
Dr. Michael H Denyer, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2225 Teton Plz, Ste B, Idaho Falls, ID 83404 Phone: 208-524-4660 Fax: 208-524-4617 | |
Dr. Denis P Raleigh, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 3200 Channing Way Ste 205, Idaho Falls, ID 83404 Phone: 208-535-4580 |